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NUNP 6541 Pediatric Final Exam-Walden U |
2025 Actual Exam Answers
Peritonsillar abscess - correct-answer-As the infection progresses, the duct to the
surface of the tonsil becomes progressively more obstructed from surrounding
inflammation. The resulting tissue necrosis and pus formation produce the classic
signs and symptoms of peritonsillar abscess
Patients with peritonsillar abscess appear ill and present with fever, malaise, sore
throat, dysphagia, or otalgia. The throat pain is markedly more severe on the
affected side and is often referred to the ear on the same side. Physical
examination usually reveals trismus, with the patient having difficulty opening his
or her mouth because of pain from inflammation and spasm of masticator
muscles. Swallowing is also highly painful, resulting in pooling of saliva or drooling.
Patients often speak in a muffled voice "hot potato voice". Markedly tender
cervical lymphadenitis may be palpated on the affected side.
Death can occur from airway obstruction, aspiration, or hemorrhage from erosion
or septic necrosis into the carotid sheath
Symptoms most suggestive of pneumonia - correct-answer-Bacterial pneumonia
tend to happen suddenly with these symptoms:
Cough that produces mucus
Cough pain
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Vomiting or diarrhea
Loss of appetite
Tiredness (fatigue)
Fever
Early symptoms of viral pneumonia are the same as those of bacterial pneumonia.
But with viral pneumonia, the breathing problems happen slowly. Viral pneumonia
may make a child more at risk for bacterial pneumonia.
In addition to the symptoms listed above, your child may have:
Chills
Fast or hard breathing
Headache
Fussiness
Diet and treatment for RSV - correct-answer-Fluids and tylenol
Which child should not receive a TB skin test? - correct-answer-One that has had
a severe reaction to a previous PPD
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Which of the following patients least warrants a sweat chloride test? - correct-
answer-4-year-old female with nocturnal cough, which resolves after treatment
with bronchodilators and short-term steroids; growth parameters at 10% for age.
Lung sounds with cystic fibrosis - correct-answer-Cystic fibrosis typically presents
with rhonchi and/or crackles. Their wheezes may sound more congested due to
the buildup of mucous in their bronchioles.
Lung sounds with asthma - correct-answer-Wheezing can be a symptom of
asthma where a combination of swelling, mucus and muscles tightening can cause
narrowing of the airways
Lung sounds with foreign body aspiration - correct-answer-If it causes airway
occlusion it may lead to asphyxia and it is unfortunately a leading cause of death
in childhood. However, it more often presents with a history of an initial episode
of choking and coughing with subsequent respiratory symptoms. These include
cough, wheeze, stridor, or pneumonia. The most common physical sign is
decreased or abnormal breath sounds
Lung sounds with croup - correct-answer-Stridor is a harsh, raspy tight sound
best heard with breathing in
Loud or constant stridor means severe croup. So does stridor at rest (when not
crying or coughing).
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All stridor needs to be treated with warm mist
Radiographic signs of croup - correct-answer-steeple sign (also known as "wine
bottle sign"): seen on AP radiographs of the neck or chest and neck demonstrates
uniform narrowing of the subglottic airway
Most common congential heart defect in children - correct-answer-Ventricular
septal defect
Chest pain in children - correct-answer-anxiety is the most frequent cause of
chest pain in children; costochondritis
Innocent heart mumurs - correct-answer-Grade 1 murmurs are barely audible;
grade 2 murmurs are faint but can be heard immediately; grade 3 murmurs can be
heard easily and are moderately loud
best heard at the LLSB and is vibratory or blowing and does not radiate
Most useful test of acute rheumatic fever - correct-answer-Streptococcal serology
is most helpful in the diagnosis of ARF because of the delayed nature of the
disease following GAS infection. Antibody titers are elevated, while culture or
detection of the organism is usually no longer possible by the time ARF presents
NUNP 6541 Pediatric Final Exam-Walden U |
2025 Actual Exam Answers
Peritonsillar abscess - correct-answer-As the infection progresses, the duct to the
surface of the tonsil becomes progressively more obstructed from surrounding
inflammation. The resulting tissue necrosis and pus formation produce the classic
signs and symptoms of peritonsillar abscess
Patients with peritonsillar abscess appear ill and present with fever, malaise, sore
throat, dysphagia, or otalgia. The throat pain is markedly more severe on the
affected side and is often referred to the ear on the same side. Physical
examination usually reveals trismus, with the patient having difficulty opening his
or her mouth because of pain from inflammation and spasm of masticator
muscles. Swallowing is also highly painful, resulting in pooling of saliva or drooling.
Patients often speak in a muffled voice "hot potato voice". Markedly tender
cervical lymphadenitis may be palpated on the affected side.
Death can occur from airway obstruction, aspiration, or hemorrhage from erosion
or septic necrosis into the carotid sheath
Symptoms most suggestive of pneumonia - correct-answer-Bacterial pneumonia
tend to happen suddenly with these symptoms:
Cough that produces mucus
Cough pain
,2|Page
Vomiting or diarrhea
Loss of appetite
Tiredness (fatigue)
Fever
Early symptoms of viral pneumonia are the same as those of bacterial pneumonia.
But with viral pneumonia, the breathing problems happen slowly. Viral pneumonia
may make a child more at risk for bacterial pneumonia.
In addition to the symptoms listed above, your child may have:
Chills
Fast or hard breathing
Headache
Fussiness
Diet and treatment for RSV - correct-answer-Fluids and tylenol
Which child should not receive a TB skin test? - correct-answer-One that has had
a severe reaction to a previous PPD
,3|Page
Which of the following patients least warrants a sweat chloride test? - correct-
answer-4-year-old female with nocturnal cough, which resolves after treatment
with bronchodilators and short-term steroids; growth parameters at 10% for age.
Lung sounds with cystic fibrosis - correct-answer-Cystic fibrosis typically presents
with rhonchi and/or crackles. Their wheezes may sound more congested due to
the buildup of mucous in their bronchioles.
Lung sounds with asthma - correct-answer-Wheezing can be a symptom of
asthma where a combination of swelling, mucus and muscles tightening can cause
narrowing of the airways
Lung sounds with foreign body aspiration - correct-answer-If it causes airway
occlusion it may lead to asphyxia and it is unfortunately a leading cause of death
in childhood. However, it more often presents with a history of an initial episode
of choking and coughing with subsequent respiratory symptoms. These include
cough, wheeze, stridor, or pneumonia. The most common physical sign is
decreased or abnormal breath sounds
Lung sounds with croup - correct-answer-Stridor is a harsh, raspy tight sound
best heard with breathing in
Loud or constant stridor means severe croup. So does stridor at rest (when not
crying or coughing).
, 4|Page
All stridor needs to be treated with warm mist
Radiographic signs of croup - correct-answer-steeple sign (also known as "wine
bottle sign"): seen on AP radiographs of the neck or chest and neck demonstrates
uniform narrowing of the subglottic airway
Most common congential heart defect in children - correct-answer-Ventricular
septal defect
Chest pain in children - correct-answer-anxiety is the most frequent cause of
chest pain in children; costochondritis
Innocent heart mumurs - correct-answer-Grade 1 murmurs are barely audible;
grade 2 murmurs are faint but can be heard immediately; grade 3 murmurs can be
heard easily and are moderately loud
best heard at the LLSB and is vibratory or blowing and does not radiate
Most useful test of acute rheumatic fever - correct-answer-Streptococcal serology
is most helpful in the diagnosis of ARF because of the delayed nature of the
disease following GAS infection. Antibody titers are elevated, while culture or
detection of the organism is usually no longer possible by the time ARF presents
